Individual
KAREN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 HIGH SERVICE AVE, N PROVIDENCE, RI 02904-5113
(401) 456-3193
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00020
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LDN00020
LICENSE NUMBER
RI
Enumeration date
09/16/2013
Last updated
09/16/2013
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